Smartphones or Vaccines or both?

Vaccines not mentioned as a possible factor despite the fact that mercury and other adjuvants are known to contribute poor eyesite.

A major Chinese health research center recently published a white paper on the country's visual health.

The findings weren't great.

According to a recent Nomura research report, the main two takeaways from the paper, from Peking University's China Center for Health Development, were that the prevalence of visual problems in China is far above the global average and that the problem is quickly getting worse.

In 2012, about 500 million people in China had an uncorrected visual defect. Of those, 450 million had myopia, or nearsightedness. That's about a third of the country's population. And the report forecasts that barring policy interventions, about 700 million people, or roughly half of the population, will have myopia by 2020.

Ian Morgan/Australian National University

In Taiwan, the situation is even worse. More than half the country's population, about 11.5 million people, are nearsighted.

Nearsightedness is especially prevalent among teenagers. Forty-seven percent of China's population ages 6 to 15, and 55% of those ages 16 to 25, are suffering from myopia.

According to the Nomura report, an academic study from the Australian National University estimated that the prevalence of myopia in 20-year-olds had reached 80% in developed Asia, including Hong Kong, Taiwan, Singapore, and South Korea. In the US and Europe the rate is closer to 50%, which is still twice what it was 50 years ago.

Wind, Nomura

Nomura suggests that some factors contributing to this crisis are the urbanization, sedentary lifestyle, and prevalence of smartphones that have taken over China in recent years. The white paper cited the "intensity of near-range work and the decreasing intensity of outdoor activities, due to aggravating academic pressures and extensive use of electronic devices" as the main causes.

Smartphone penetration has been increasing in recent years, and when you combine the increased screen time with decreasing time spent outside, the eye strain and damage has serious consequences.

China's eyesight problem is also having economic effects. The Peking University report estimated that the total economic burden caused by visual defects was 682 billion to 691 billion yuan — 1.3% of the country's gross domestic product — in large part because of reduced labor participation.

Nomura

The market for glasses and contact lenses has been booming. According to the Nomura report, Euromonitor estimates that global sales of eyewear will reach $121 billion this year and $136 billion by 2021.

The global contact lens market has also grown from $6.1 billion in 2010 to $7.4 billion in 2015, and it could reach $9.3 billion by 2019, according to figures from Contact Lens Spectrum cited by Nomura.

The US is the largest market, accounting for 43% of total sales value. Mainland China's market for contacts is a little less than 10% of that, but it has been growing at a pace that is outpacing global growth, with contact lens import growth growing 34% over the past year.

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